Comparison of propeller flaps versus skin grafts for coverage of osteocutaneous fibula free flap donor site defects.
Head Neck
; 45(1): 135-146, 2023 Jan.
Article
in En
| MEDLINE
| ID: mdl-36256590
ABSTRACT
BACKGROUND:
Authors compare use of propeller flaps versus skin grafts in defect coverage after fibula flap harvest. MATERIALS ANDMETHODS:
Retrospective review of patients who received either PFPF or STSG. Primary predictor variable was technique, and secondary predictor variables were comorbidities. Primary outcome variable was flap/graft healing, and secondary outcome variables were cosmesis, adverse events, effect on activities of daily living (ADLs), pain, additional procedures, and cost. Statistical analysis performed via independent sample t tests, ANOVA, and χ2 tests. Logistic regression analysis was performed.RESULTS:
Study sample was 50 patients. PFPFs showed higher rates of success, while STSG showed increased complications and adverse events. Pain and ADLs significantly affected in STSG group. Cosmesis was better in the PFPF group, and overall cost was significantly higher in STSG group.CONCLUSION:
PFPFs show greater success rates, fewer complications, improved cosmesis, less pain, reduced cost compared to STSG for wound coverage after fibula flap harvest.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Plastic Surgery Procedures
/
Free Tissue Flaps
Type of study:
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Head Neck
Journal subject:
NEOPLASIAS
Year:
2023
Document type:
Article
Affiliation country:
United States